New patient registration

Patient’s details

Title: *
Please use this date format: DD/MM/YYYY
Sex: *
Your NHS number is a 10 digit number that you find on any letter the NHS has sent you. For example, 485 777 3456.
Any responses we send will go to this email address
Can we contact you by text?
Can we contact you by email?

Emergency contact

Are they your next of kin?
Do you give us permission to discuss your medical records with them?

Previous details

Please include postcode.

If you are from abroad and registering with the NHS for the first time

Please use this date format: DD/MM/YYYY

If you are returning from abroad and have previously been registered with the NHS

Please use this date format: DD/MM/YYYY
Please use this date format: DD/MM/YYYY

Armed Forces

Have you ever served in HM Armed Forces?

NHS Individual Health Record Opt Out

Opting out of the Individual Health Record

Further information is available by calling NHS Direct on 0845 46 47.